HomeMy WebLinkAboutReview Checklist � �-z-�-( � ���, �
TOWN OF YARMOUTH �,/ � �����'�'j,�
� SEWAGE PLAN REVIEW CHECKLIST s��'�''�x� �
Location: A.M. /�Q � Lot� Zone of Contribution: In`�''Out Acreage�� �9�--
Commercial: Residential: ��
Street: �
Village: Floor Plan: �� #Bedrooms:
Owner: �.r1�� '%���0,��►// Installer: � C�CL�
Address: Phone: - p
Phone:
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Builder: Engineer: �
Address: Phone: � -
Phone: � �, � ��,�� 3��., - �o
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N/A YES NO
1.Re uired#of copies received -
2. Date of soils exam and ercolation test not older than 2 years �__._
3.4-5 ft of naturall occurrin ervious material, above water ta.ble ��
4.Foundation 2 ft above high oint of road H.P.: Fnd: Var.:
5. Water line 10 ft from s tic com onents Var.:
6.Benchmark indicated and shown-NGVD if near wetlands
7. S tic tank minimum 10 ft from foundation, deck Var.:
8.Leaching minimum 20 ft full, 15 ft crawl, 10 ft slab Var.:
9.Leaching minimum 100 ft from wetlands Var.: �---� ,.
10.Lea,chin minimum 150 ft from drinkin welU25 ft irrigation well Var.:
11. Tank/leaching minimum 10 ft from ro eriy line Var.:
12. S stem meets all other setback r uirements Var.:
13. Uses ad'ustment for maximum high oundwater Var.: .
14.Leaching set 4-5 ft above adj.water or bottom of test hole Vaz.:
15. System not in to or subsoil(A,B horizons)or 5'removal ,�,�
16.Pro osed contours are suitable �.-
17. S stem meets slo e r uirements-min. 1/8", '/a" eferred ��-
18. S stem meets breakout r uirements PVC liner: Wall: �,�--�
19. Specified tee sizes are ro er, gas baffle on outlet tee �^�-
20. Sewa e is under 10,000 d for arcel ��
21.No bage dis osal
� 22.S stem ad uatel sized for its intended use ��
23.Minimum 6"stone or com acted below tank and dbox
� 24.Manhole covers within 6"of ade, um chamber cover to grade
25. Ins tion ort on lastic chambers/leach field
26.Electrica.l ermit for um cha.mber/S arate meter for du lexes
27.Pum system-2" line,wee hole,check valve,tee in dbox, um size �--
28. S tic tank/ um chamber to be fa.ctory waterproofed ,_...s-
29.Vent rovided if leachin below 3 feet,under driveway/ arkin �-
30.Buoyanc calculations for tank/ u chamber
3 L En ' eer to ins ect and cert' soils: wall: commercial: -.-----
32.Engineer/Registered Sanita.rian and Land Surve or stam s/signature �
33.H-20 loading is subject to vehicular tra.f�c, oundwater .
34.Title V A lication and ermit fee, installer si ature
35.Foundation footin min. 2 feet above ad'usted ound water for new house
36.Deed Restriction r ired max. #bedrooms: maar. flow: d
37.Check area lots for groundwater/Label oundwater in Assessor's Ma -'-
Plan reviewed by: ���� �3��